Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Sudarson Gautam, OTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1619372182

Mr. Sudarson Gautam, OTR/L is a Physical Rehabilitation Occupational Therapist in Palmyra, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

446 Old Farm Rd Apt 2
Palmyra, PA 17078-8720
Phone: (717) 813-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence OC016192 (PA)

Record details

NPI number1619372182
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 27, 2014
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025